The Effect Of Addıtıonal Surgery On Muscle Strength, Proprıoceptıon And Balance In Anterıor Crucıate Lıgament Surgery

NCT06319040 | Completed DMC

• 1 other identifier: MEDİPOL MEGA 1
• Study Type: observational
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Meniscal tears and RAMP lesions are frequently seen together with ACL injuries. The aim of this study was to evaluate the effects of meniscus repair and RAMP lesion repair ACL reconstruction surgery in terms of muscle strength, proprioception, and balance. In our study, the clinical outcomes of both anterior cruciate ligament reconstruction (ACLR), medial meniscus repair (MR) and RAMP lesion repair (RR) have been compared with those of isolated ACLR.

Conditions

Anterior Cruciate Ligament Injuries; Meniscus Lesion

Keywords

ramp lesion; muscle strength; balance; proprioception; ACL

Outcome Measures

Primary Outcomes (1)

• muscle strength measurement

  The isokinetic system (Cybex NORM®, Humac, CA, USA) was used to assess muscle strength measurement. Subjects sat upright on the dynamometer chair with 90˚ hip flexion during measurement. The axis of rotation of the dynamometer was adjusted to align with the anatomical axis of the knee joint (lateral condyle of the femur). To prevent compensatory movements during the test, participants were fixed on both shoulders, waist, and thighs. The belt used for the tested extremity was placed 3 cm proximal to the malleolus. Both verbal and visual feedback was given for individuals to participate in the test with maximum effort

  30 minutes

Study Arms (3)

Study Group 1

15 patients who underwent isolated ACLR

Other: Muscle strength measurement; Other: Knee joint proprioception; Other: Balance; Other: Fall risk test; Other: Tegner Activity Level; Other: Lysholm Knee Scoring Scale

Study Group 2

15 patients who underwent ACLR with additional intervention

Other: Muscle strength measurement; Other: Knee joint proprioception; Other: Balance; Other: Fall risk test; Other: Tegner Activity Level; Other: Lysholm Knee Scoring Scale

Control Group

15 healthy individuals

Other: Muscle strength measurement; Other: Knee joint proprioception; Other: Balance; Other: Fall risk test; Other: Tegner Activity Level; Other: Lysholm Knee Scoring Scale

Interventions

Muscle strength measurement OTHER

Muscle strength of both legs, maximal reciprocal concentric isokinetic knee extension (quadriceps) and flexion (hamstring) at 60°/s, 90°/s and 180°/s speeds were evaluated

Control Group; Study Group 1; Study Group 2

Knee joint proprioception OTHER

Knee joint proprioception was assessed by joint position sense. Joint position sense was measured by the previously taught ability to actively find joint position (EPAB)

Control Group; Study Group 1; Study Group 2

Balance OTHER

The patients and healthy individuals participating in our study were evaluated with the General Stability Index (GSI) for general balance ability, Anterior-Posterior Stability Index (APSI) for anterior-posterior balance ability, Medial-Lateral Stability Index (MLSI) for lateral balance ability and Fall Risk Index (DRI) and Biodex Balance System (Biodex Inc., Shirley, New York, USA) for fall risk. High values obtained indicate deterioration in balance and increased risk of falling.

Control Group; Study Group 1; Study Group 2

Fall risk test OTHER

Biodex Balance System (Biodex Inc., Shirley, New York, USA) for fall risk

Control Group; Study Group 1; Study Group 2

Tegner Activity Level OTHER

Tegner Activity Level and the Turkish version of the Lysholm Knee Scoring Scale by Çelik et al. were used to subjectively determine the functional level in individuals undergoing ACL reconstruction surgery.

Control Group; Study Group 1; Study Group 2

Lysholm Knee Scoring Scale OTHER

Tegner Activity Level and the Turkish version of the Lysholm Knee Scoring Scale by Çelik et al. were used to subjectively determine the functional level in individuals undergoing ACL reconstruction surgery.

Control Group; Study Group 1; Study Group 2

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Our study was conducted with 30 patients who were admitted to Medipol Mega University Hospital between 2018 and 2019 and were diagnosed with ACL rupture and required surgery.

You may not qualify if:

• In addition to ACL injury, the patients with cartilage damage, knee arthrosis, misalignment in the lower extremity and additional ligament pathologies, history of previous knee surgery, any pathology in the opposite lower extremity, and additional neuromuscular diseases were excluded.

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Turkey (Türkiye)

Location

Related Publications (1)

• Gulenc B, Kemah B, Yalcin S, Sayar S, Korkmaz O, Erdil M. Surgical Treatment of Meniscal RAMP Lesion. J Knee Surg. 2020 Mar;33(3):255-259. doi: 10.1055/s-0039-1677887. Epub 2019 Mar 8.

  PMID: 30849785 BACKGROUND

MeSH Terms

Conditions

Anterior Cruciate Ligament Injuries

Interventions

Lysholm Knee Score

Condition Hierarchy (Ancestors)

Knee Injuries; Leg Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Patient Outcome Assessment; Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration; Health Care Evaluation Mechanisms; Health Care Quality, Access, and Evaluation

Study Officials

• tuğba türk kalkan, MD

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 13, 2024
• First Posted: March 19, 2024
• Study Start: December 6, 2018
• Primary Completion: March 7, 2019
• Study Completion: June 7, 2019
• Last Updated: March 19, 2024

Record last verified: 2024-03

Locations

TU (1)